UHC Dual Complete WI-V001 (HMO-POS D-SNP) in Winnebago County, Wisconsin — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

UHC Dual Complete WI-V001 (HMO-POS D-SNP) (H3794-004) is a $17-premium Medicare Advantage HMO-POS D-SNP from UnitedHealth Group, Inc. available in Winnebago County, Wisconsin in 2026, with a 4.0-star overall rating, a $4,900 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationUnitedHealth Group, Inc.
Plan nameUHC Dual Complete WI-V001 (HMO-POS D-SNP)
Contract IDH3794
Plan ID004
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO-POS D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$17.30
Part C premium$0.00
Part D basic premium$17.30
Part D total premium$17.30
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$4900.00
Overall star rating4.0

How this plan is structured

  • $17 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO-POS D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $4,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Winnebago County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Winnebago County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Winnebago County, Wisconsin, of which 0 carry a 5.0-star overall rating and 31 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $269.00 per month, and in-network out-of-pocket maximums range from $1500.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Winnebago County, Wisconsin.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3794-004.
  2. Call the plan (UnitedHealth Group, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3794-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3794-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3794 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is UHC Dual Complete WI-V001 (HMO-POS D-SNP) an HMO or PPO?

UHC Dual Complete WI-V001 (HMO-POS D-SNP) is an HMO-POS D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does UHC Dual Complete WI-V001 (HMO-POS D-SNP) include prescription drug coverage?

Yes — UHC Dual Complete WI-V001 (HMO-POS D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for UHC Dual Complete WI-V001 (HMO-POS D-SNP)?

The 2026 in-network maximum out-of-pocket limit for UHC Dual Complete WI-V001 (HMO-POS D-SNP) is $4900.00, per the CMS CY2026 Landscape file.

What counties offer UHC Dual Complete WI-V001 (HMO-POS D-SNP) (H3794-004)?

UHC Dual Complete WI-V001 (HMO-POS D-SNP) (H3794-004) is offered in 72 Wisconsin counties: Adams County, Ashland County, Barron County, Bayfield County, Brown County, Buffalo County, Burnett County, Calumet County, Chippewa County, Clark County, Columbia County, Crawford County, Dane County, Dodge County, Door County, Douglas County, Dunn County, Eau Claire County, Florence County, Fond du Lac County, Forest County, Grant County, Green County, Green Lake County, Iowa County, Iron County, Jackson County, Jefferson County, Juneau County, Kenosha County, Kewaunee County, La Crosse County, Lafayette County, Langlade County, Lincoln County, Manitowoc County, Marathon County, Marinette County, Marquette County, Menominee County, Milwaukee County, Monroe County, Oconto County, Oneida County, Outagamie County, Ozaukee County, Pepin County, Pierce County, Polk County, Portage County, Price County, Racine County, Richland County, Rock County, Rusk County, Sauk County, Sawyer County, Shawano County, Sheboygan County, St. Croix County, Taylor County, Trempealeau County, Vernon County, Vilas County, Walworth County, Washburn County, Washington County, Waukesha County, Waupaca County, Waushara County, Winnebago County, and Wood County.

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